JILL S COTTELL M D A PROFESSIONAL CORPORATION (NPI# 1588844385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588844385 |
Entity Type | Organization |
Organization Name | JILL S COTTELL M D A PROFESSIONAL CORPORATION |
Practice Address |
15644 Pomerado Rd Suite 400 Poway CA 92064-2400 |
Mailing Address |
15644 Pomerado Rd Ste 400 Poway CA 92064-2400 |
Practice Telephone | 8583121672 |
Practice Fax Number | 8589126421 |
Mailing Telephone | 8583121672 |
Mailing Fax Number | 8589126421 |
Enumeration Date | 2007-11-08 |
Last Update Date | 2010-12-16 |
Authorized Official Name | DR. JILL COTTEL (OWNER/PROVIDER) |
Authorized Official Telephone | 8583121672 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A65247 | CA | Ambulatory Health Care Facilities |
Street Address |
15644 POMERADO RD SUITE 400 |
City | POWAY |
State | CA |
Zip Code | 92064-2400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578529731 | Paul Neustein | Urology | 15644 Pomerado Rd, Suite 206, Poway, CA 92064-2400 | 2006-04-25 |
1720565526 | Kimberly Nicole Skillicorn | Psychologist | 15644 Pomerado Rd, Poway, CA 92064-2400 | 2018-07-24 |
1811445646 | Pacifico West Rx, Inc. | Pharmacy | 15644 Pomerado Rd, Suite 303, Poway, CA 92064-2400 | 2016-09-21 |
1164885869 | Lauren Elisabeth Pichard | Psychologist | 15644 Pomerado Rd, Suite 305, Poway, CA 92064-2400 | 2016-03-30 |
1285090902 | Jocelyn Moll | Nurse Practitioner | 15644 Pomerado Rd, Ste 206, Poway, CA 92064-2419 | 2016-01-11 |
1922485176 | Janet Wells | Acupuncturist | 15644 Pomerado Rd, Suite 306, Poway, CA 92064-2419 | 2015-04-27 |
1811399660 | Katherine Fleming | Physician Assistant | 15644 Pomerado Rd, Suite 202, Poway, CA 92064-2400 | 2014-09-24 |
1467882779 | Thrive Rx Specialty Pharmacy Corporation | Pharmacy | 15644 Pomerado Rd, Suite 303, Poway, CA 92064-2400 | 2013-11-22 |
1346675618 | Resetsleepcom Inc | Clinic/Center | 15644 Pomerado Rd, Suite 200, Poway, CA 92064-2400 | 2013-09-05 |
1508203506 | Maryna Blom | Pharmacist | 15644 Pomerado Rd, Suite 303, Poway, CA 92064-2400 | 2013-05-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
1992096630 | Primary Care Center of North County, Apc | Clinic/Center | 13525 Midland Rd Ste F, Poway, CA 92064-4772 | 2011-04-28 |
1073124111 | Virtue Medical | Clinic/Center | 15721 Pomerado Rd, Poway, CA 92064-2021 | 2020-08-12 |
1861727372 | Poway Medical Clinic, Incorporated | Clinic/Center | 13525 Midland Rd, Poway, CA 92064-4771 | 2009-10-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.